Displaying 8011-8020 of 1611142 results.
ID:
8011
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1363410
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
8012
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364581
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
8013
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790175
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
8014
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790167
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
8015
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790171
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
8016
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1928941
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
8017
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
197703
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
8018
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300783
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
8019
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
831261
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
8020
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
829500
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
8011801280138014801580168017801880198020